Atıf Sayısı
1
Görüntüleme
24
İndirme
3
Amaç: İnmeli hastalarda çift yönlü görev aktivitesinin fonksiyon ve yaşam kalitesi üzerine etkisini araştırmak. Gereç ve Yöntem: Çalışmaya 20 yaş üzeri kırk (n=40) inmeli hasta dahil edildi. Çalışma grubu ve kontrol grubu olarak belirlendi. Grup 1 (n:20) hastalara konvansiyonel egzersiz tedavisi (statik, dinamik denge egzersizleri ve yürüme eğitimi) 4 haftalık 45'şer dakika verilirken grup 2’deki (n:20) hastalara konvansiyonel egzersiz ile eş zamanlı sözel akıcılık ve matematik problemleri uygulandı. Hastaların demografik verileri kaydedildi ve rehabilitasyon programına başlamadan önce ve 4 haftalık rehabilitasyon programını aldıktan sonra 6 dakika yürüme testi, fonksiyonel ambulasyon skala (FAS), Rivermead mobilite indeksi, mini mental test, inmeye özgü yaşam kalitesi ölçeği, Ulusal Sağlık İnme Enstitüsü Skalası (NIHSS) inme skalası ölçeği değerlendirildi. Bulgular: Çalışma grubundaki hastaların (grup2) tedavi sonrasında üst (p<0.01), el (p<0.01), alt (p<0.01) ekstremite Brunnstrom evrelendirmesinde, stroke yaşam kalitesinde (p<0.01), FAS (p=0.02), Rivermead mobilite indeksi (p<0.01), 6 dk yürüme mesafesi (p<0.01) ve mini mental testte (p=0.01) istatistiksel olarak anlamlı iyileşme gözlemlenmiştir. Kontrol (grup 1) grubunda ise tedavi sonrasında üst (p=0.01), el (0.01), alt ekstremite (p<0.01) Brunnstrom evrelendirmesinde, stroke yaşam kalitesinde (NIHSS) (p=0.01), Rivermead mobilite indeksi (p<0.01), 6 dk yürüme mesafesi (p<0.01) ve mini mental testte (p=0.04) istatistiksel olarak anlamlı farklılık gözlemlenmiştir. Çalışma ve kontrol grubu tedavi protokolü öncesi ve sonrası tüm parametreler kendi arasında karşılaştırıldığında benzer sonuçlar elde edildi. Buna göre tedavi öncesi fonksiyonel ve yaşam kalitesini gösteren parametreler her iki grupta benzerdi. Tedavi programı sonrası da her iki grup sonuçları benzer bulundu. Sonuç: Çift yönlü görev egzersizi inmeli hastalarda fonksiyonel düzey, yaşam kalitesi ve mental duruma olumlu etkisi olup, konvansiyonel tedavilere üstünlüğü yoktur. İnmeli hastalarda nörorehabilitasyonda tercih edilebilir.
Objective: Explore the impact of dual task activity on function and quality of life in infected patients. Method and method: 40 (n=40) patients aged 20 were included in the study. It is defined as a working group and control group. Group 1 (n:20) patients were given conventional exercise therapy (static, dynamic balance exercises and walking training) 4 weeks 45 minutes while group 2 (n:20) patients were given conventional exercise simultaneously; oral fluency and mathematical problems were applied. The demographic data of patients were recorded and evaluated 6 minutes walk test, functional ambulance scale (FAS), Rivermead mobility index, mini mental test, the scale of life quality, the scale of the scale of the scale of the scale of the scale of the scale of the scale of the scale of the scale of the scale of the scale of the scale of the scale of the scale of the scale of the scale of the scale of the scale. Results: After the treatment of patients in the working group (group2); upper (p<0.01), hand (p<0.01), lower (p<0.01) end Brunnstrom level, stroke quality of life (p<0.01), FAS (p=0.02), Rivermead mobility index (p<0.01), 6 min walk distance (p<0.01) and mini mental test (p=0.01) statistically significant improvements have been observed. The control (Group 1) is in the group after treatment; the top (p=0.01), the hand (0. 01), the lower end (p<0.01) Brunnstrom evolution, statistically significant differences in stroke quality of life (NIHSS) (p=0.01), Rivermead mobility index (p<0.01), 6 min walk distance (p<0.01) and mini mental test (p=0.04) have been observed. Study and control group treatment protocols were achieved similar results when compared all parameters between themselves. Accordingly, the pre-treatment functional and quality of life parameters were similar in both groups. After the treatment program, the results of both groups were similar. The result is that double-directional task exercises have a positive impact on the functional level, quality of life and mental condition in patients, and have no superiority over conventional treatments. It can be preferred in neurorehabilitation in infected patients.
Purpose: To investigate the effect of dual task activity on function and quality of life in stroke patients Material and Methods: 20 years and older forty (n=40) stroke patients were included in the study. Group 1 (n:20) patients were given conventional exercise therapy (static, dynamic balance exercises and gait training) 45 minutes a week for 4 weeks. Group 2 (n: 20) patients were given conventional exercise and verbal fluency and mathematics problems were applied concurrently. The demographic data of the patients were recorded and 6-minute walk test, functional ambulatory scale (FAS), Rivermead mobility index, mini-mental test, stroke-specific quality of life scale, National Institutes of Health Stroke Scale (NIHSS) was evaluated before and after 4 weeks of rehabilitation program. Results: There was statistically significant difference in the study group (group 2); after rehabilitation; upper (p<0.01), hand (p<0.01), lower (p<0.01) extremity Brunnstrom staging, stroke quality of life (p<0.01), FAS (p=0.02), Rivermead mobility index (p<0.01), 6 min walking distance (p<0.01) and mini mental test (p<0.01) were statistically significant. In the control group after rehabilitation; there was statistically significant difference in upper (p=0.01), hand (p=0.01), lower (p<0.01) extremity Brunnstrom staging, stroke quality of life (p=0.01), NIHHS (p=0.01), Rivermead mobility index (p<0.01), 6 min walking distance (p<0.01) and minimental test (p=0.04). In the study and control groups all parameters compared before and after the treatment and results were similar. Results of both groups were similar after the treatment program. Conclusion: Dual task exercise has a positive effect on functional level, quality of life and mental status in stroke patients and has no superiority over conventional treatments. It may be preferred for neurorehabilitation in stroke patients.
Alan : Sağlık Bilimleri
Dergi Türü : Uluslararası
Makale Detay 
Atıf Yapanlar
Benzer Makaleler
PDF Görüntüle
Dergi Bilgisi
Eseri Dinleyin
Bu Sayfayı Yazdırın
Paylaş
Mendeley
